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Cited by 342Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsPain Management and Opioid Use

Chronic Pain and Poor Self-rated Health

Mäntyselkä, Pekka T.·2003·JAMA
DOI 10.1001/jama.290.18.2435
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Abstract

CONTEXT: Chronic pain is common in Western societies. Self-rated health is an important indicator of morbidity and mortality, but little is known about the relation between chronic pain and self-rated health in the general population. OBJECTIVE: To analyze the association between chronic pain and self-rated health. DESIGN, SETTING, AND POPULATION: A questionnaire survey carried out during the spring of 2002 of an age- and sex-stratified population sample of 6500 individuals in Finland aged 15 to 74 years, with a response rate of 71% (N = 4542) after exclusion of those with unobtainable data (n = 38). Chronic pain was defined as pain with a duration of at least 3 months and was graded by frequency: (1) at most once a week; (2) several times a week; and (3) daily or continuously. On the basis of a 5-item questionnaire on self-rated health, individuals were classified as having good, moderate, or poor health. Multinominal logistic regression analysis was used to assess the determinants of health. Analysis included sex, age, education, working status, chronic diseases, and mood. MAIN OUTCOME MEASURES: Perceived chronic pain graded by frequency and self-rated health status. RESULTS: The prevalence of any chronic pain was 35.1%; that of daily chronic pain, 14.3%. The prevalence of moderate self-rated health was 26.6% and of poor health, 7.6%. For moderate self-rated health among individuals having chronic pain at most once a week compared with individuals having no chronic pain, the adjusted odds were 1.36 (95% confidence interval [CI], 1.05-1.76); several times a week, 2.41 (95% CI, 1.94-3.00); and daily, 3.69 (95% CI, 2.97-4.59). Odds for poor self-rated health were as follows: having chronic pain at most once a week, 1.16 (95% CI, 0.65-2.07); several times a week, 2.62 (95% CI, 1.76-3.90); and daily, 11.82 (95% CI, 8.67-16.10). CONCLUSION: Chronic pain is independently related to low self-rated health in the general population.

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  • Chronic pain is associated with significant increase in morbidity and mortality.

    “It is of great relevance to primary care that chronic pain is also associated with significant increase in morbidity and mortality [11, 12], with 20–50 % of chronic pain sufferers having co-morbid depression [9, 13, 14•].”

    From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [12]

  • Consultations on pain account for 22% of all primary care consultations.

    “Consultations on pain account for 22 % of all primary care consultations [12], and pain is one of the main reasons for patients seeking contact with healthcare [18].”

    From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [12]

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Authors
Mäntyselkä, P. T.
Affiliations
University of Eastern Finland (FI)
Corresponding author
Mäntyselkä, Pekka T.
ORCID
Mäntyselkä, Pekka T.
Venue
JAMA
Publisher
American Medical Association (AMA)
Published
2003-11-12
Volume
290
Issue
18
Pages
2435
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.290.18.2435
OpenAlex
W2080600841
Cited by
340
References
22
Citations by year
2026: 11 · 2025: 9 · 2024: 12 · 2023: 18 · 2022: 9 · 2021: 14 · 2020: 17 · 2019: 13 · 2018: 15 · 2017: 17 · 2016: 13 · 2015: 12 · 2014: 21 · 2013: 22 · 2012: 11
FWCI
7.93
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
chronic pain, self-rated health, health perception, pain frequency, prevalence of chronic pain, general population, health status
MeSH terms
Adolescent, Adult, Aged, Chronic Disease, Female, Finland, Health Status, Health Surveys, Humans, Male, Middle Aged, Pain, Surveys and Questionnaires

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